Individual
KRISTIN LANDRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4011 E 53RD STREET, DAVENPORT, IA 52807
(563) 359-3438
Mailing address
4210 N OAK ST, DAVENPORT, IA 52806-4864
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22646
IA
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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